Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $81.28	Facility		$21.88	$54.95	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $36.31	Professional		$19.05	$23.99	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $69.18	Professional		$38.02	$56.23	$69.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $67.61	Professional		$29.51	$51.29	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $67.61	Facility		$29.51	$38.02	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $32.36 / $109.65	Professional		$17.38	$32.36	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $38.02	Professional		$35.48	$35.48	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $67.61	Facility		$29.51	$29.51	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $74.13	Professional		$17.38	$17.38	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51